Pediatric Immunizations- NUR 283
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11 Terms
How long does Maternal Antibody Protection last?
3-6 months
Why Infants & Young Children Increased Risk for infection?
Decreased inflammatory response, decreased humoral immunity, greater exposure
2 ways to achieve immunity
Natural immunity (infection) & Vaccination
Live Attenuated Vaccines routinely given in US
MMR, Varicella, Rotavirus
Expected vaccine reactions
Redness, swelling, tender at site, low grade fever, fussiness/irritability
When to hold all vaccines?
Moderate to severe illness, high fever, allergic reaction to vaccine components, previous adverse reaction
Adverse vaccine reactions
high fever, seizures, inconsolable crying, severe pain
When to hold love attenuated vaccines?
Immunocompromise: systemic steroid treatment, HIV/AIDS (based on T cell count), cancer, chemo radiation, immunocompromise in close contact or family member, blood or IVIG transfusion, organ transplant
When are live attenuated vaccines administered?
After 12 months
What live attenuated vaccine is given prior to 12 months?
Rotavirus
Why wait to give live attenuated vaccines?
Avoid circulating maternal antibodies
Note 
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